Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model

Ercole Vellone, Misook L. Chung, Antonello Cocchieri, Gennaro Rocco, Rosaria Alvaro, Barbara Riegel

Research output: Contribution to journalArticlepeer-review

79 Scopus citations

Abstract

Emotions are contagious in couples. The purpose of this study was to analyze the manner in which adults with chronic heart failure (HF) and their informal caregivers influence each other's self-care behavior and quality of life (QOL). A sample of 138 HF patients and spouses was enrolled from ambulatory centers across Italy. The Actor-Partner Interdependence Model (APIM) was used to analyze dyadic data obtained with the Self-Care of Heart Failure Index (SCHFI), the Caregivers Contribution to the SCHFI, and the Short Form 12. Both actor and partner effects were found. Higher self-care was related to lower physical QOL in patients and caregivers. Higher self-care maintenance in patients was associated with better mental QOL in caregivers. In caregivers, confidence in the ability to support patients in self-care was associated with improved caregivers' mental QOL, but worsened physical QOL in patients. Interventions that build the caregivers' confidence are needed.

Original languageEnglish
Pages (from-to)120-141
Number of pages22
JournalJournal of Family Nursing
Volume20
Issue number1
DOIs
StatePublished - Feb 2014

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Riegel has been funded by NIH to study issues related to the content in this paper. This study was funded by the Center of Excellence for Nursing Scholarship, Rome, Italy.

Keywords

  • Actor-Partner Interdependence Model
  • couples
  • dyads
  • family caregivers
  • heart failure
  • quality of life
  • self-care

ASJC Scopus subject areas

  • Community and Home Care
  • Family Practice

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